Provider Demographics
NPI:1457505919
Name:MCRORIE, ANN MARIE
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARIE
Last Name:MCRORIE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:ANN
Other - Middle Name:MARIE
Other - Last Name:MCRORIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:4317 SKILLMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-2120
Mailing Address - Country:US
Mailing Address - Phone:646-267-7565
Mailing Address - Fax:
Practice Address - Street 1:4317 SKILLMAN AVE
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-2120
Practice Address - Country:US
Practice Address - Phone:646-267-7565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051443-11835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist